pattern driven by system readiness, integration primary enabler of data integration, workflow Across scenarios and adoption pathways, the focal system constraints change. Early waves concentrate clinical and operational settings where safety, return on investment, and integration are Compound, investment progressively reallocates well understood, before gradually tapering as and, later, toward frontier technologies with higher transformational potential. This evolution rather than technology promise alone, with later-stage investments building on capabilities, once safety, liability frameworks, workforce governance, and infrastructure established earlier. acceptance, and system integration reach sufficient maturity, driving a growing share of pilots, with material investment emerging across scenarios, the underlying investment